now menopause is one reason
絕經是造成這一情況的原因之一
but there could be other reasons that you may not know
但可能還有一些你不知道的原因
what's waking you up at night
也會導致你在半夜醒來
I had one case
我有一個患者
a very bizarre case
他的情況很奇怪
where he said I wake at 3:10 every night
他說我每晚準時3:10醒來
I said, ok, really?
我說 真的嗎
Do you have to go to the bathroom?
你是因為要上廁所嗎?
No, I'm not hungry, I'm not thirsty
不是 我既不餓 也不渴
I don't have any problems
我沒有任何問題
I wake up at 3:10
但我每晚都會在3:10醒來
and it's driving me crazy
我都快瘋了
and I need to do something
我該怎么辦
So we did a traditional, you know, keep a 2-week diary
我們要求他做一個傳統的兩周日記
and see he was waking up 3:10 most nights
發現他的確每晚都在3:10醒來
couple of nights a week
一周有幾天都是如此
So we were...both of us very puzzle by this
所以我們也感到很疑惑
Usually they will come back in two weeks
很多時候患者兩周后會回來告訴我們
and say I don't need you
我不需要你們的幫助了
I figure it all out from self-monitoring
通過自我檢測 觀察自己的睡眠模式
and looking at their own patterns
我已經知道怎么回事了
but we were both still puzzled
但這個病人的情況讓我們摸不著頭腦
So I said
然后我說
why don't you do me a favor for the next couple of nights
你能不能在接下來的幾天夜里幫我個忙
just set your alarm for 3:05 and see what happens
定一個3:05的鬧鐘 看看到底怎么回事
And sure enough, it was the neighbor upstairs
結果是因為樓上的鄰居
who was putting on his boots
他每晚半夜出去工作之前
in the middle of the night to go to work
都會穿靴子
So I don't know what happened with the neighbor
我不知道鄰居的情況是怎么回事
but you never know, you never know
但是人們可能并不了解
what's causing these awakenings at night
到底是什么造成了他們半夜醒來
That was pretty dramatic
這是一個極端的病例
What I usually suggest is that
我通常給出的建議是
if you don't have a bed partner
如果你沒有床伴
who is listening or watching you sleep
能夠聽見或看到你的睡眠情況
you can actually tape record or video tape your sleep
那么你可以自己給自己的睡眠錄像
and look at it and see what you see
然后回過頭來看到底是怎么回事
You may find you are kicking a lot
你可能發現你自己經常踢腿
and every time you kick your arms and legs
而每次伸展四肢時
your brain is aroused
你的大腦就被刺激了
It's awake
大腦會醒來
It's not in deep sleep or light sleep
大腦沒有處在深度或淺度睡眠之中
it's awake
而是已經醒來
You might find that you are snoring
你可能還會發現自己打呼嚕
A lot of people find that
很多人都發現了